title: Leiomyomas in adolescents.
abstract: OBJECTIVE
  To describe a rare finding of a large leiomyoma and recurrence in an adolescent.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Major academic medical center.
  
  
  METHODS
  A 14-year-old gravida 0 presented with a 16-cm pelvic mass that was found to be an anterior uterine leiomyoma.
  
  
  METHODS
  Exploratory laparotomy with resection of leiomyoma followed by robotic myomectomy when the mass recurred.
  
  
  METHODS
  The incidence, pathogenesis, fertility implications, and treatment options for leiomyomas in adolescents.
  
  
  RESULTS
  Leiomyomas are rare in adolescents. The mass was resected and recurred within 1 year. There are no prior cases of recurrence in an adolescent.
  
  
  CONCLUSIONS
  Benign leiomyomas should be considered in adolescents presenting with uterine masses, as malignancies are even less common. Myomectomy is the procedure of choice to preserve fertility in this population.
authors.affiliation: Division of Gynecology, Children's Hospital Boston, and Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: Kelly Nicole
authors.initials: KN
authors.lastname: Wright
authors.forename: Marc R
authors.initials: MR
authors.lastname: Laufer
mesh_terms: D000293:Adolescent; D000367:Age Factors; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D007889:Leiomyoma / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery